简易持续恒压自控皮肤扩张器的临床应用  

Clinical application of skin expansion with easily self-controlled and continuous constant pressure

作　　者：张先安[1] 罗文福[1] 关少强[1] 

机构地区：[1]暨南大学医学院第三附属医院,珠海市人民医院整形外科,珠海519000

出　　处：《中华医学美学美容杂志》2005年第2期88-91,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨一种自制、简单易行的持续恒压全封闭式自控皮肤扩张器的疗效.方法用一次性输液器、医用三通、软装储水瓶(囊)、生理盐水充注式乳房假体的注水导管与普通去注射壶扩张器装配成全封闭式持续注水系统,用充气式加压输液器及普通弹簧式血压计组成持续恒压系统,将软装储水瓶(囊)放置于充气加压输液器内,通过挤压皮球加压,将软装储水瓶(囊)中液体注入扩张器中,据患者痛阈值设置注水压力,由其自行注水及调节压力.临床应用20例26个扩张器,扩张容量为100～400 ml,术后3～5 d开始注水,达所需扩张面积后停止注水.结果注水量为120～640 ml,注水时间为10～16 d,平均(13.6±2.1) d,无并发症发生.结论简易持续恒压自控全封闭式注水扩张器, 具有取材制作方便、操作简单易行、扩张速度快、安全可靠、高效、佩戴舒适的特点,值得推广.Objective To study the effects of a self-controlled and totally-enclosed type perfusion skin and tissue expansion in which pressure was continuous and constant. Methods Totally-enclosed type perfusion system included single-used infusion apparatus, triplet, soft water storage bag, catheter, and common expander. Continuous pressure-constant system included inflatable infusion apparatus and common spring sphygmomanometer. Expander was filled from soft water storage bag which was put in inflatable infusion apparatus by crushed ball. The pressure of expander was controlled by patients according to pain threshold. 26 expanders were used in 20 patients in clinical practice. The volume of expander was about 100 ~ 400 ml. After 3~5 days from operation, water began to fill in the expander and stopped when the expansion area reached. Results The volume of expander was 120~640 ml and the duration of expansion was 10~16 days, average (13.6± 2.1) days, without any complication. Conclusions The tissue expansion with continuous and constant pressure and totally-enclosed perfusion is worth popularizing because of its easy preparation, simply operation, rapid expansion, safety and comfort.

关 键 词：皮肤扩张器 持续恒压 临床应用 自控 充注式乳房假体 加压输液器 一次性输液器 全封闭式 医用三通 生理盐水 扩张面积 无并发症 安全可靠 水瓶 软装 水系统 注射壶 血压计 弹簧式 充气式 痛阈值 注水量 压力 ml 

分 类 号：R622[医药卫生—整形外科]